Arlie Koziol

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

10013 Issued in CT

Practice address

945 Main St
Manchester, CT 06040-6064

Phone

(860) 649-6166

NPI assigned

Sep 14, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Pediatric Medicine

  • Pediatrics Physician
  • Danbury, CT
  • NPI 1861530750
  NPD (past)
• Childcare Associates

  • Pediatrics Physician
  • Danbury, CT
  • NPI 1215120431
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1891465753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 CARRIAGE DR",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621928",
            "telephone_number": "203-709-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060406064",
            "telephone_number": "860-649-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZIOL",
        "first_name": "ARLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "10013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin G Kolpak
• Brendan Korb, MD
• Danny Antoine Korkmaz, M.D.
• Nadine Koser, D.O.
• Cathleen Kowalski, D.M.D.
• Katrina Dawn Kozlin, D.O.
• Delythe Jean Kracke, NP
• Alysa Krajcik, LCSW
• Gary W Kravetz, MD
• Lydia Krenicki

• Pediatric Nurse Practitioner in Manchester, CT
• Providers in Manchester, CT by specialty
• Pediatric Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.